NPIMap

Organization Active NPI

Profundus LLC

  • Massage Therapist
  • Denver, CO
National Provider Identifier
1710275607
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1607 Issued in CO
Legal business name
PROFUNDUS LLC
Practice address
1045 Acoma St
Denver, CO 80204-4029
Phone
(303) 912-4861
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terry R Winter, LMTNPI 1033354204
Title
Owner
Phone
(303) 912-4861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1607 CO Primary

Addresses

Primary practice location

1045 Acoma St
Denver, CO 80204-4029

Mailing address

1045 Acoma St
Denver, CO 80204-4029
Phone (303) 912-4861

National Provider Directory

National Provider Directory

Locations

1045 Acoma St
Denver, CO 80204
Phone (303) 912-4861

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1710275607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044029",
            "telephone_number": "303-912-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ACOMA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044029",
            "telephone_number": "303-912-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFUNDUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-912-4861",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "1607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.